West Virginia University at Parkersburg
CHILDREN OF CLASSIFIED STAFF SCHOLARSHIP APPLICATION
| Social Security Number |
Date |
|||
| Last Name |
First Name |
|||
| Permanent Home Address | Street | City | State/Zip | |
| Home Phone Number | Birth date | |||
| Classified Staff Member | Relationship | |||
| Major | ||||
| Credit enrollment anticipated for | Fall | ___ full-time | ___part-time | # of hours _____ |
| Spring | ___ full-time | ___part-time | # of hours _____ |
New WVU-P students:
Please attach high school transcript, GED score report, or
transcript from college last attended.
Returning WVU-P students:
Please attach WVU-P transcript.
Minimum
award: $100 per semester. Applications
received by July 1 will receive priority consideration for the year.
Applications received by November 15 may be considered for the spring
semester if funds are available. Submit
application to the Children of Classified Staff Scholarship Committee c/o
Financial Aid Office at WVU-P.
_______________________
I certify that all information above is true and accurate and that the attached transcript or score report is a true and unaltered copy. I understand that submission of false or inaccurate information will result in loss of all future scholarship consideration. I authorize the Scholarship Committee to verify the information I have provided with this application. I have read and understand the scholarship guidelines and requirements on the back of this form. I authorize WVU-P to release my name, address, grades, high school attended, and college program to donors and to the community news media.
Signed, __________________________________________
Student
Signed,
_________________________________
Classified
Staff Employee/Retiree
RETURN COMPLETED FORM TO JEFF SCOTT, FINANCIAL AID COUNSELOR
|
For Financial Aid
Office and Committees use only.
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